Abstract | PURPOSE: METHODS: We retrospectively collected data for all pediatric patients treated at a large tertiary pediatric neurosurgical department, for whom CSF samples were collected over a 2-year period. Lactate levels were correlated with other CSF parameters, surgical parameters, presence of CSF infection, and source of CSF sample (lumbar, ventricular, or pseudomeningocele). RESULTS: A total of 215 CSF samples from 162 patients were analyzed. We found a correlation between lactate levels and other CSF parameters. Lactate levels displayed an inconsistent correlation with infection depending on sample origin. Irrespective of the CSF source, lactate levels could not sufficiently discriminate between those with or without infection. Lactate levels were correlated with recent surgery, and, in some of the subgroups, to the extent of blood in CSF. CONCLUSIONS: LCSF levels are influenced by many factors, including the source of sample, recent surgery, and the presence of subarachnoid or ventricular blood secondary to surgery. The added value of LCSF for diagnosing CSF infections in children with a history of neurosurgical procedures is unclear and may be influenced by the extent of blood in the CSF.
|
Authors | Jonathan Roth, Jehuda Soleman, Danil A Kozyrev, John N Jabang, Maya Stein, Galia Grisaru-Soen, Haggai Benvenisti, Efraim Sadot, Shirley Friedman, Itay Ayalon, Ilana Goldiner, Moshe Stark, Eyal Hassoun, Shlomi Constantini |
Journal | Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
(Childs Nerv Syst)
Vol. 35
Issue 7
Pg. 1147-1153
(07 2019)
ISSN: 1433-0350 [Electronic] Germany |
PMID | 31065782
(Publication Type: Journal Article)
|
Chemical References |
|
Topics |
- Adolescent
- Central Nervous System Bacterial Infections
(cerebrospinal fluid, diagnosis)
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Infant, Newborn
- Lactic Acid
(cerebrospinal fluid)
- Male
- Neurosurgical Procedures
(adverse effects)
- Postoperative Complications
(cerebrospinal fluid, diagnosis)
- Retrospective Studies
- Young Adult
|